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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125406397
Report Date: 07/23/2021
Date Signed: 07/23/2021 02:33:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CHILDREN'S COTTAGE INFANT CENTERFACILITY NUMBER:
125406397
ADMINISTRATOR:MCCUTCHEN, ROSEFACILITY TYPE:
830
ADDRESS:900 HODGSON STREETTELEPHONE:
(707) 445-8119
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY:28CENSUS: 4DATE:
07/23/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Riley HallTIME COMPLETED:
02:00 PM
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LPA conducted a visit to view staff records that are maintained at 125407502/ CHILDREN'S COTTAGE INFANT TODDLER CENTER/ 2900 HARRIS STREET/ EUREKA/ CA/ 95503.
At least one staff member present during the visit Lead teacher possessed current CPR and First Aid certifications expires in December of 2021. Two staff records were reviewed at 12:30 pm.
The LPA needed to reach staff on duty (because the files did not contain the necessary training and there is no one in the office to assist the LPA with records (staff present are watching children and do not know what is in the files)
The facility lists two phone numbers (707) 445-8119 which was being routed to an empty office located at another facility and was not answered. The second number is the licensee’s cell which she answered from home today. Licensee said training was complete and was not sure why it was not in the file. Licensee supplied me with a personal staff cell # so the LPA could reach the facility. The LPA left a message on the personal staff phone. The Licensee said the parents are provided with the personal cell numbers of the staff who is on duty. The LPA advised the Licensee, Rose, that the intent of the regulation that the facility have a working telephone is that the phone could be called and answered from the facility. On multiple occasions in the past LPA has tried unsuccessfully to reach the facility staff. See advisory today. The Licensee agreed to scan over requested (follow up email) documents by 7/26/21.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-5033
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530)215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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